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Report clear nasal fluid, thirst or severe headache.","restrictions":["No nose blowing","Avoid heavy lifting and bending","Sneeze with the mouth open"]},{"phase":"Weeks 3–6","description":"Return to normal daily activities and desk work; nasal healing and crust clearance.","restrictions":["Avoid strenuous exertion until cleared"]},{"phase":"Months 2–4","description":"Hormone replacement is adjusted and MRI and vision are reassessed.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated endoscopic transsphenoidal surgery; no formal rehabilitation program is usually required."},"result_longevity":"Many tumors are controlled long term after complete resection, but recurrence is possible, depending on tumor type and extent of resection, so long-term imaging and hormone surveillance is advised.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat surgery for residual or recurrent tumor, or CSF leak repair, within about 5 years."},"scars":"No visible scar with the endoscopic transnasal approach, because the tumor is reached through the nostril and sphenoid sinus.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"A single operation; follow-up checks are not counted as treatment sessions."},"stages":[{"code":"surgery","label":"Endoscopic transsphenoidal tumor resection","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Standard endoscopic transsphenoidal resection in one stage."},"success":{"metric":"Gross total resection of non-functioning macroadenoma","value":70,"unit":"percent of patients","horizon":"3 months on postoperative MRI","population":"Adults with non-functioning macroadenoma, endoscopic transsphenoidal surgery","evidence_status":"limited"},"techniques":[{"name":"Endoscopic endonasal transsphenoidal resection","suits_whom":"Most pituitary adenomas, including macroadenomas and those with suprasellar extension.","recovery":"Typically 2–5 nights in hospital and return to desk work in 2–6 weeks."},{"name":"Microscopic transsphenoidal (sublabial or transnasal) resection","suits_whom":"Smaller adenomas and microadenomas confined to the sella.","recovery":"Similar to the endoscopic approach."},{"name":"Transcranial (craniotomy) approach","suits_whom":"Rare large tumors with extensive lateral or suprasellar extension that cannot be reached transnasally.","recovery":"Longer hospital stay and recovery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for a standard endoscopic transsphenoidal resection of an uncomplicated adenoma."},"initial_assessment_documents":["Pituitary MRI report and images","Pituitary hormone blood test results","Visual field test report","Neurology or endocrinology consultation notes","Previous pituitary surgery or radiotherapy reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7–14 days, including 2–5 hospital nights. Endocrine and MRI follow-ups usually done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that a steroid plan is in place before discharge, because pituitary surgery may require steroid replacement","scope":"procedure","source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/endoscopic-transsphenoidal-pituitary-surgery","host":"uclh.nhs.uk","quote":"Steroid plan in place (see Steroid medication).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that follow-up with endocrinology and neurosurgery is arranged before discharge","scope":"procedure","source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/endoscopic-transsphenoidal-pituitary-surgery","host":"uclh.nhs.uk","quote":"Follow up plan with endocrinology and neurosurgery in place.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that blood testing is arranged after discharge to assess water balance and cortisol hormone","scope":"procedure","source":{"url":"https://www.royaldevon.nhs.uk/media/rn0d42cl/your_pituitary_operation_-_what_to_expect_rd_21_062_002.pdf","host":"royaldevon.nhs.uk","quote":"One week after the surgery you will have a blood test to check your water balance and cortisol hormone.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C4","text":"Check that postoperative visual assessment and MRI follow-up are planned","scope":"procedure","source":{"url":"https://www.northerncarealliance.nhs.uk/patient-information/patient-leaflets/neurosurgery-endoscopic-surgery-pituitary-tumour","host":"northerncarealliance.nhs.uk","quote":"You will also need to have a repeat visual assessment and a MR scan usually at 3-4 months post-operatively.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Vision loss","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/pituitary-tumors/diagnosis-treatment/drc-20350553","host":"mayoclinic.org","quote":"Vision changes, such as double vision or vision loss.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W2","text":"Double vision","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/pituitary-tumors/diagnosis-treatment/drc-20350553","host":"mayoclinic.org","quote":"Vision changes, such as double vision or vision loss.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W3","text":"Heavy urine output and extreme thirst","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/pituitary-tumors/symptoms-causes/syc-20350548","host":"mayoclinic.org","quote":"You may pass a lot of urine and feel very thirsty.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your tumor's growth can be controlled without surgery","name":"Radiation therapy","source":{"url":"https://www.mayoclinic.org/diseases-conditions/pituitary-tumors/symptoms-causes/syc-20350548","host":"mayoclinic.org","quote":"Or its growth may be controlled with medicines or radiation therapy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403},"operation_id":null},{"id":"A2","text":"Your tumor's growth can be controlled with medicines","name":"Medication therapy","source":{"url":"https://www.mayoclinic.org/diseases-conditions/pituitary-tumors/symptoms-causes/syc-20350548","host":"mayoclinic.org","quote":"Or its growth may be controlled with medicines or radiation therapy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"endoscopic-endonasal-transsphenoidal","name":"Endoscopic endonasal transsphenoidal resection","how_it_works":{"text":"An instrument enters through the nostril to access the tumor","source":{"url":"https://www.mayoclinic.org/diseases-conditions/pituitary-tumors/diagnosis-treatment/drc-20350553","host":"mayoclinic.org","quote":"In endoscopic transnasal transsphenoidal surgery, a surgical instrument is placed into the nasal cavity through the nostril and alongside the nasal septum to access a pituitary tumor.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"event":"back_to_daily_activities","min":6,"max":6,"unit":"weeks","label":"6 weeks","source":{"url":"https://www.mayoclinic.org/tests-procedures/transsphenoidal-surgery/about/pac-20583059","host":"mayoclinic.org","quote":"Most people can get back to usual activities within six weeks of the surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}},{"id":"microscopic-transsphenoidal-resection","name":"Microscopic transsphenoidal (sublabial or transnasal) resection","how_it_works":{"text":"The surgeon removes the tumor through the nose under a microscope","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC5409268","host":"pmc.ncbi.nlm.nih.gov","quote":"Microscopic transsphenoidal surgery has long been considered the \"gold standard\" in surgical treatment of pituitary tumors.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"transcranial-approach","name":"Transcranial (craniotomy) approach","how_it_works":{"text":"The surgeon removes larger or complicated tumors through the skull","source":{"url":"https://careinfo.mayoclinic.org/pituitary-tumor","host":"careinfo.mayoclinic.org","quote":"Transcranial surgery (craniotomy) to remove larger or more complicated tumors through the upper part of the skull via an incision in the scalp.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=azerbajdzhan/city=baku/procedure=udalenie-opuholi-gipofiza/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":87,"alias":"hypophyseal-adenoma","name":"Adenoma ipofisario"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}